US2014213538A1PendingUtilityA1

Lysophosphatidic acid receptor antagonists

Assignee: INTERMUNE INCPriority: Jan 15, 2013Filed: Jan 15, 2014Published: Jul 31, 2014
Est. expiryJan 15, 2033(~6.5 yrs left)· nominal 20-yr term from priority
A61P 35/00A61P 29/00A61P 11/00C07D 495/04C07D 261/14C07D 401/12C07D 491/048C07D 413/12C07D 413/10C07D 487/04C07D 513/04A61P 19/00C07D 405/10C07D 417/10C07D 275/03A61K 9/007C07H 15/26
44
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Claims

Abstract

Compounds, methods of making such compounds, pharmaceutical compositions and medicaments comprising such compounds, and methods of using such compounds to treat, prevent or diagnose diseases, disorders, or conditions associated with one or more of the lysophosphatidic acid receptors are provided.

Claims

exact text as granted — not AI-modified
1 .- 32 . (canceled) 
     
     
         33 . A compound of Formula (II): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         A is an acetylene or a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein when A is a ring system, it is optionally substituted; 
         B is an acetylene or a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein when B is a ring system, it is optionally substituted; 
         C is a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 5-11 membered heterocyclyl, and 5-11 membered carbocyclyl, wherein C is optionally substituted; 
         D is selected from —OH, 
       
       
         
           
           
               
               
           
         
       
       —NR 13 SO p R 14 , —C(O)—NR 13 SO p R 14 , 
       
         
           
           
               
               
           
         
       
       —SO p R 15 , —SO p NR 16 R 17 , or carboxylic acid isosteres;
 E is absent or selected from 6-10 membered arylene, 3-11 membered carbocyclyl, 3-11 membered heterocyclyl or 5 to 10 membered heteroarylene, wherein E is optionally substituted; 
 L 4  is selected from 
 
       
         
           
           
               
               
           
         
         or alternatively, 
       
       
         
           
           
               
               
           
         
         wherein 
       
       
         
           
           
               
               
           
         
       
       is selected from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof;
 L 1  is selected from a single bond, a —CH 2 — linker, 
 
       
         
           
           
               
               
           
         
       
       a —C≡C— linker, a —CH═CH— linker, or a ═C(R 11 )— linker;
 L 2  is selected from a single bond, a —CH 2 — linker, 
 
       
         
           
           
               
               
           
         
       
       a —C≡C— linker, or a —CH═CH— linker;
 L 3  is absent or selected from 
 
       
         
           
           
               
               
           
         
       
       or a ═C(R 11 )— linker;
 L 5  is selected from 
 
       
         
           
           
               
               
           
         
       
       or a —C≡C— linker;
 W is selected from C(R 6 ) 2 , NR 6 , or O; 
 X is selected from —C(O) or S(O) p ; 
 each Y is independently selected from CR 6  or N; 
 Y 1  is selected from C(R 6 ) 2 , NR 6 , or O; 
 each Y 4  is independently absent, CR 9 , C(R 9 ) 2 , N, or NH, provided that only one Y 4  can be absent; 
 each Z is independently selected from C(O), O, S, S(O) 2 , NR 6a , C(O)NR 6b , or S(O) 2 NR 6c ; 
 R 1  is selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy, alkoxy, C-amido, O-carboxy, and 5-7 membered heterocyclyl; or aryl optionally substituted with one or more substituents selected from group consisting of amino, cyano, halogen, alkyl, haloalkyl, hydroxy, alkoxy, haloalkoxy, C-amido, N-amino, C-carboxy, O-carboxy and nitro; 
 R 2  and R 3  are each independently selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each of cycloalkyl, heterocyclyl, aryl, and heteroaryl of R 2  or R 3  is optionally substituted with one or more substituents selected from alkyl, amino, halogen, haloalkyl, hydroxy, alkoxy, haloalkoxy, cyano, or oxo; 
 or R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 or R 2  is selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl and R 3  is joined to an atom alpha to a point of attachment of L 5  to A to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl when E is absent; or R 3  is selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl or heteroaryl and R 2  is joined to an atom alpha to a point of attachment of L 5  to A to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl when E is absent; 
 each R 4  and R 5  is independently selected from hydrogen or alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; or R 4  and R 5  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or optionally substituted heterocyclyl; 
 each R 6 , R 6a , R 6b , and R 6c  is independently selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; aryl; or C 3-6  cycloalkyl; 
 each R 7  and R 8  is independently selected from hydrogen or C 1-6  alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; or R 7  and R 8  are joined together with the atom or atoms to which they are attached to form a spirocyclic heterocyclyl, a spirocyclic carbocyclyl, a fused heterocycle, or a fused carbocyclyl; 
 each R 9  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, or halogen; or two adjacent R 9  are joined together with the atoms to which they are attached to form an optionally substituted carbocyclyl or an optionally substituted heterocyclyl; 
 each R 10  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; aryl; C 3-6  cycloalkyl; or cyano; 
 each R 11  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; haloalkyl; or cyano; 
 each R 13  and R 14  is independently selected from hydrogen, alkyl, haloalkyl, aryl, or C 3-6  cycloalkyl; 
 R 15  is selected from hydrogen, alkyl, haloalkyl, (carbocyclyl)alkyl, aryl, or C 3-6  cycloalkyl; 
 each R 16  and R 17  is independently selected from hydrogen, acyl, alkyl, haloalkyl, aryl, or C 3-6  cycloalkyl; or R 16  and R 17  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 each R 2a , R 3a , R 2b , R 3b , R 2c , and R 3c  is independently selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl; or each of R 2a  and R 3a , R 2b  and R 3ab , or R 2c  and R 3c  are independently joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 m is independently an integer from 0-3; 
 n is an integer from 0-3; 
 k is an integer from 0-3; 
 p is an integer from 1-2; 
 q is an integer from 1-6; 
 each s and u is independently an integer from 0 to 6; and 
    represents a single or double bond, provided that 
 when A is 
 
       
         
           
           
               
               
           
         
       
       B is 
       
         
           
           
               
               
           
         
       
       D is —C(O)OH; m is 0; E is absent;
 L 5  is —CH 2 SCH 2 CH 2 —; L 1  is a single bond; L 2  is a single bond; and 
 
       
         
           
           
               
               
           
         
       
       wherein R 9  is selected from H or halogen and R 4  is methyl; then C is not 
       
         
           
           
               
               
           
         
       
     
     
         34 . (canceled) 
     
     
         35 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein
 A is an acetylene or selected from the group consisting of   
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       wherein each * is a point of attachment of A to L 1  or L 3 , and wherein the rings in A are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo;
 B is an acetylene or selected from the group consisting of 
 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       wherein each * is a point of attachment of B to L 1  or L 3 , wherein the rings in B are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo;
 G together with the atoms to which it is attached forms a ring system selected from 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein the ring system is unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, or oxo; 
 
       
         
           
           
               
               
           
         
       
       is selected from 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof;
 each Y 2  is independently selected from —CH═ or N; 
 each Y 3  is independently selected from C(R 6 ) 2 , NR 6 , O or S; 
 each Y 5  is independently selected from NR 6 , O or S; and 
 each R 12  is independently selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; acyl; C-carboxy; C-amido; sulfinyl; sulfonyl; or S-sulfonamido. 
 
     
     
         36 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein the compound of Formula (II) is also represented by Formula (IIa) 
       
         
           
           
               
               
           
         
         wherein 
         A is selected from acetylene, 
       
       
         
           
           
               
               
           
         
       
       wherein the rings in A are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo;
 B is selected from acetylene, 
 
       
         
           
           
               
               
           
         
       
       wherein the rings in B are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo;
 L 1  is selected from a single bond, a —C(O)— linker, a —CH 2 — linker, or a —CH 2 O-linker; 
 L 2  is selected from a single bond, a —O— linker, a —NH— linker, a —C(O)— linker, a CH 2 — linker, or a —CH 2 O— linker; and 
 R 4  is selected from hydrogen or alkyl optionally substituted with halogen. 
 
     
     
         37 . (canceled) 
     
     
         38 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein the compound of Formula (II) is also represented by Formula (IIb): 
       
         
           
           
               
               
           
         
         wherein L 5  is 
       
       
         
           
           
               
               
           
         
       
     
     
         39 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is absent. 
     
     
         40 . (canceled) 
     
     
         41 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is selected from 
       
         
           
           
               
               
           
         
       
       each optionally substituted with one or more halogens. 
     
     
         42 . (canceled) 
     
     
         43 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is selected from 
       
         
           
           
               
               
           
         
       
     
     
         44 . (canceled) 
     
     
         45 . (canceled) 
     
     
         46 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is selected from 
       
         
           
           
               
               
           
         
       
       each optionally substituted with one or more substituents selected from alkyl, amino, halogen, haloalkyl, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         47 . (canceled) 
     
     
         48 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is selected from 
       
         
           
           
               
               
           
         
       
       each optionally substituted with one or more substituents selected from alkyl, amino, halogen, haloalkyl, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         49 . (canceled) 
     
     
         50 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein E is selected from 
       
         
           
           
               
               
           
         
       
       each optionally substituted with one or more substituents selected from alkyl, amino, halogen, haloalkyl, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         51 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein D is —C(O)OR 1 . 
     
     
         52 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein the compound of Formula (II) is also represented by Formula (IIc): 
       
         
           
           
               
               
           
         
       
     
     
         53 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein A is 
       
         
           
           
               
               
           
         
       
       and B is selected from acetylene, 
       
         
           
           
               
               
           
         
       
       and wherein each of the rings in A or B is unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         54 . (canceled) 
     
     
         55 . The compound or pharmaceutically acceptable salt thereof of  claim 53 , wherein B is an acetylene. 
     
     
         56 . The compound or pharmaceutically acceptable salt thereof of  claim 53 , wherein B is 
       
         
           
           
               
               
           
         
       
       optionally substituted with one or more halogens. 
     
     
         57 . (canceled) 
     
     
         58 . (canceled) 
     
     
         59 . The compound or pharmaceutically acceptable salt thereof of  claim 53 , wherein A is 
       
         
           
           
               
               
           
         
       
       optionally substituted with one or more halogens. 
     
     
         60 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein B is 
       
         
           
           
               
               
           
         
       
       and A is selected from acetylene, 
       
         
           
           
               
               
           
         
       
       wherein each of the rings in A or B is unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         61 . (canceled) 
     
     
         62 . The compound or pharmaceutically acceptable salt thereof of  claim 60 , wherein A is an acetylene. 
     
     
         63 . The compound or pharmaceutically acceptable salt thereof of  claim 60 , wherein A is 
       
         
           
           
               
               
           
         
       
       optionally substituted with one or more halogens. 
     
     
         64 . (canceled) 
     
     
         65 . (canceled) 
     
     
         66 . (canceled) 
     
     
         67 . (canceled) 
     
     
         68 . (canceled) 
     
     
         69 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
     
     
         70 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
     
     
         71 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
       wherein R 10  is selected from hydrogen, C 1-3  alkyl or C 3-6  cycloalkyl. 
     
     
         72 . The compound or pharmaceutically acceptable salt thereof of  claim 71 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
     
     
         73 . (canceled) 
     
     
         74 . (canceled) 
     
     
         75 . (canceled) 
     
     
         76 . (canceled) 
     
     
         77 . (canceled) 
     
     
         78 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein m is 0. 
     
     
         79 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein m is 1. 
     
     
         80 . (canceled) 
     
     
         81 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein each of R 2  and R 3  is hydrogen. 
     
     
         82 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein at least one of R 2  and R 3  is alkyl, aryl or halogen. 
     
     
         83 . The compound or pharmaceutically acceptable salt thereof of  claim 82 , wherein both R 2  and R 3  are alkyl. 
     
     
         84 . The compound or pharmaceutically acceptable salt thereof of  claim 82 , wherein one of R 2  or R 3  is alkyl and the other R 2  or R 3  is halogen. 
     
     
         85 . The compound or pharmaceutically acceptable salt thereof of  claim 82 , wherein both R 2  and R 3  are halogens. 
     
     
         86 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted azetidine, an optionally substituted oxetane, an optionally substituted beta-lactam, an optionally substituted tetrahydropyran, an optionally substituted cyclopropyl, an optionally substituted cyclobutyl, an optionally substituted cyclopentyl, or an optionally substituted cyclohexyl. 
     
     
         87 . The compound or pharmaceutically acceptable salt thereof of  claim 86 , wherein R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted cyclopropyl, cyclobutyl or cyclopentyl. 
     
     
         88 . (canceled) 
     
     
         89 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein R 6  is hydrogen. 
     
     
         90 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein each of L 1  and L 2  is a single bond. 
     
     
         91 . (canceled) 
     
     
         92 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein L 5  is 
       
         
           
           
               
               
           
         
       
     
     
         93 . (canceled) 
     
     
         94 . The compound or pharmaceutically acceptable salt thereof of  claim 92 , wherein both s and u in L 5  are an integer of 0. 
     
     
         95 . The compound or pharmaceutically acceptable salt thereof of  claim 94 , wherein L 5  is —NH—. 
     
     
         96 . The compound or pharmaceutically acceptable salt thereof  claim 94 , wherein L 5  is —C(O)—NH—. 
     
     
         97 . The compound or pharmaceutically acceptable salt thereof of  claim 94 , wherein L 5  is —O—. 
     
     
         98 . (canceled) 
     
     
         99 . (canceled) 
     
     
         100 . (canceled) 
     
     
         101 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein R 1  is hydrogen or alkyl. 
     
     
         102 . (canceled) 
     
     
         103 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , wherein 
       
         
           
           
               
               
           
         
       
     
     
         104 . (canceled) 
     
     
         105 . (canceled) 
     
     
         106 . (canceled) 
     
     
         107 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , selected from compounds of Tables 2, 2A, 2B, 2C and 2D, and pharmaceutically acceptable salts thereof. 
     
     
         108 . The compound or pharmaceutically acceptable salt thereof of  claim 33 , selected from compounds IT005, IT006, IT155, IT194-IT199, IT226-IT232, IT238, IT256-259, IT277, IT300, IT301, IT303-IT316, IT344, IT345, IT355, IT356, IT368, IT374, IT375, IT388, IT398-IT409, IT417, IT419, IT420, IT423-IT425, IT428-IT432, IT434-IT440, IT444, IT446-IT457, IT459-IT474, IT476-IT478, IT481-IT492, IT495, IT497, or IT500-IT514 of Table 13. 
     
     
         109 .- 440 . (canceled) 
     
     
         441 . A compound of Formula (XI): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein 
         A is selected from the group consisting of 
       
       
         
           
           
               
               
           
         
       
       wherein A is optionally substituted; 
       
         
           
           
               
               
           
         
       
       is selected from 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof; wherein each * is a point of attachment of C to L 2 ;
 D is selected from —OH, 
 
       
         
           
           
               
               
           
         
       
       —NR 13 SO p R 14 , —C(O)—NR 13 SO p R 14 , 
       
         
           
           
               
               
           
         
       
       —SO p R 15 , —SO p NR 16 R 17 , or carboxylic acid isosteres;
 E is absent or selected from 6-10 membered arylene, 3-11 membered carbocyclyl, 3-11 membered heterocyclyl or 5 to 10 membered heteroarylene, wherein E is optionally substituted; 
 L 4  is selected from 
 
       
         
           
           
               
               
           
         
         or alternatively, 
       
       
         
           
           
               
               
           
         
         wherein 
       
       
         
           
           
               
               
           
         
       
       is selected from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof;
 L 2  is selected from a single bond, a —CH 2 — linker, 
 
       
         
           
           
               
               
           
         
       
       a —C≡C— linker, or a —CH═CH— linker;
 L 5  is selected from a single bond, a —CH═CH— linker, a —C≡C— linker, 
 
       
         
           
           
               
               
           
         
       
       or a 4-7 membered heterocyclyl;
 W is selected from C(R 6 ) 2 , NR 6 , or O; 
 X is selected from —C(O) or S(O) p ; 
 each Y is independently selected from CR or N; 
 Y 1  is selected from C(R 6 ) 2 , NR 6 , or O; 
 each Y 2  is independently selected from —CH═ or N; 
 each Y 3  is independently selected from C(R 6 ) 2 , NR 6 , O or S; 
 each Y 4  is independently absent, CR 9 , C(R 9 ) 2 , N, or NH, provided that only one Y 4  can be absent; 
 each Z is independently selected from C(O), O, S, S(O) 2 , NR 6a , C(O)NR 6b , or S(O) 2 NR 6c ; 
 R 1  is selected from hydrogen or alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy, alkoxy, C-amido, O-carboxy, and 5-7 membered heterocyclyl, or aryl optionally substituted with one or more substituents selected from group consisting of amino, cyano, halogen, alkyl, haloalkyl, hydroxy, alkoxy, haloalkoxy, C-amido, N-amino, C-carboxy, O-carboxy and nitro; 
 R 2  and R 3  are each independently selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each of cycloalkyl, heterocyclyl, aryl, and heteroaryl of R 2  or R 3  is optionally substituted with one or more substituents selected from alkyl, amino, halogen, haloalkyl, hydroxy, alkoxy, haloalkoxy, cyano, or oxo; 
 or R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 or R 2  is selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl and R 3  is joined to an atom alpha to a point of attachment of L 5  to A to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl when E is absent; or R 3  is selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl or heteroaryl and R 2  is joined to an atom alpha to a point of attachment of L 5  to A to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl when E is absent; 
 each R 4  and R 5  is independently selected from hydrogen or alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; or R 4  and R 5  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or optionally substituted heterocyclyl; 
 each R 6 , R 6a , R 6b , and R 6c  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, halogen, aryl, or C 3-6  cycloalkyl; 
 each R 7  and R 8  is independently selected from hydrogen or C 1-6  alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, or R 7  and R 8  are joined together with the atom or atoms to which they are attached to form a spirocyclic heterocyclyl, a spirocyclic carbocyclyl, a fused heterocycle, or a fused carbocyclyl; 
 each R 9  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, or halogen, or two adjacent R 9  are joined together with the atoms to which they are attached to form an optionally substituted carbocyclyl or an optionally substituted heterocyclyl; 
 each R 10  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, halogen, aryl, C 3-6  cycloalkyl, or cyano; 
 each R 12  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, acyl, C-carboxy, C-amido, sulfinyl, sulfonyl, or S-sulfonamido. 
 each R 13  and R 14  is independently selected from hydrogen, alkyl, haloalkyl, halogen, aryl, or C 3-6  cycloalkyl; 
 R 15  is selected from hydrogen, alkyl, haloalkyl, (carbocyclyl)alkyl, aryl, or C 3-6  cycloalkyl; 
 each R 16  and R 17  is independently selected from hydrogen, acyl, alkyl, haloalkyl, aryl, or C 3-6  cycloalkyl; or R 16  and R 17  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 each R 2a , R 3a , R 2b , R 3b , R 2c , and R 3c  is independently selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl; or each of R 2a  and R 3a , R 2b  and R 3b , or R 2c  and R 3c  are independently joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 m is independently an integer from 0-3; 
 n is an integer from 0-3; 
 p is an integer from 1-2; 
 q is an integer from 1-6; 
 each s and u is independently an integer from 0 to 6; and 
    represents a single or double bond. 
 
     
     
         442 . (canceled) 
     
     
         443 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein
 C is selected from the group consisting of   
       
         
           
           
               
               
           
         
       
       wherein C is unsubstituted or substituted with one or more substituents selected from C 1-3  alkyl optionally substituted with halogen or C 1-3  alkoxy, C 1-6  alkoxy, C 3-6  cycloalkyl, halogen, or cyano. 
     
     
         444 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein the compound of Formula (XI) is also represented by Formula (XIa): 
       
         
           
           
               
               
           
         
         wherein A is selected from the group consisting of 
       
       
         
           
           
               
               
           
         
       
       wherein the rings in A are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         445 . (canceled) 
     
     
         446 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein A is selected from 
       
         
           
           
               
               
           
         
       
       each unsubstituted or substituted with one or more substituents selected from alkyl, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         447 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein A is optionally substituted 
       
         
           
           
               
               
           
         
       
     
     
         448 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein D is —C(O)OR 1 . 
     
     
         449 . The compound or pharmaceutically acceptable salt thereof of  claim 448 , wherein R 1  is hydrogen or unsubstituted alkyl. 
     
     
         450 . The compound or pharmaceutically acceptable salt thereof of  claim 448 , wherein R 1  is alkyl substituted with one or more substituents selected from the group consisting of alkoxy, C-amido, O-carboxy, and 6 membered heterocyclyl, or optionally substituted aryl. 
     
     
         451 . (canceled) 
     
     
         452 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein m is 0. 
     
     
         453 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein m is 1. 
     
     
         454 . (canceled) 
     
     
         455 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein each of R 2  and R 3  is hydrogen. 
     
     
         456 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein one of R 2  or R 3  is hydrogen and the other R 2  or R 3  is alkyl or aryl. 
     
     
         457 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted azetidine, an optionally substituted oxetane, an optionally substituted beta-lactam, an optionally substituted tetrahydropyran, an optionally substituted cyclopropyl, an optionally substituted cyclobutyl, an optionally substituted cyclopentyl, or an optionally substituted cyclohexyl. 
     
     
         458 . The compound or pharmaceutically acceptable salt thereof of  claim 457 , wherein R 2  and R 3  are joined together with the atom to which they are attached to form an optionally substituted cyclopropyl. 
     
     
         459 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein R 6  is hydrogen. 
     
     
         460 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein R 6  is C 1-3  alkyl. 
     
     
         461 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein each of L 5  and L 2  is a single bond. 
     
     
         462 . (canceled) 
     
     
         463 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein R 4  is alkyl or haloalkyl. 
     
     
         464 . (canceled) 
     
     
         465 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , wherein 
       
         
           
           
               
               
           
         
       
     
     
         466 . (canceled) 
     
     
         467 . (canceled) 
     
     
         468 . (canceled) 
     
     
         469 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , selected from compounds of Table 10A. 
     
     
         470 . The compound or pharmaceutically acceptable salt thereof of  claim 441 , selected from compounds IT017, IT070, IT082-IT090, IT095, IT097, IT098, IT100, IT101, IT103, IT104, IT106, IT107 IT108, IT109, IT110, IT114 IT115, and IT116, IT118, and IT127 of Table 13. 
     
     
         471 . A compound of Formula (XII): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         A is an acetylene or a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein when A is a ring system, it is optionally substituted; 
         B is an acetylene or a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein when B is a ring system, it is optionally substituted; 
         C is a ring system selected from the group consisting of 6-11 membered aryl, 5-11 membered heteroaryl, 5-11 membered heterocyclyl, and 5-11 membered carbocyclyl, wherein C is optionally substituted; 
         D is selected from —OH, 
       
       
         
           
           
               
               
           
         
       
       —NR 13 SO p R 14 , —C(O)—NR 13 SO p R 14 , 
       
         
           
           
               
               
           
         
       
       —SO p R 15 , —SO p NR 16 R 17 , or carboxylic acid isosteres;
 E is absent or selected from 6-10 membered arylene, 3-11 membered carbocyclyl, 3-11 membered heterocyclyl or 5 to 10 membered heteroarylene, wherein E is optionally substituted; 
 L 4  is selected from 
 
       
         
           
           
               
               
           
         
         or alternatively, 
       
       
         
           
           
               
               
           
         
         wherein 
       
       
         
           
           
               
               
           
         
       
       is selected from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof;
 L 1  is selected from a single bond, a —CH 2 — linker, 
 
       
         
           
           
               
               
           
         
       
       a —C≡C— linker, a —CH═CH— linker, or a ═C(R 11 )— linker;
 L 2  is selected from a single bond, a —CH 2 — linker, 
 
       
         
           
           
               
               
           
         
       
       a —C≡C— linker, or a —CH═CH— linker;
 L 3  is absent or selected from 
 
       
         
           
           
               
               
           
         
       
       or a ═C(R 11 )— linker;
 L 5  is selected from a single bond, a —CH═CH— linker, a —C≡C— linker, 
 
       
         
           
           
               
               
           
         
       
       or a 4-7 membered heterocyclyl;
 W is selected from C(R 6 ) 2 , NR 6 , or O; 
 X is selected from —C(O) or S(O) p ; 
 each Y is independently selected from CR 6  or N; 
 Y 1  is C(R 6 ) 2 , NR 6 , or O; 
 each Y 4  is independently absent, CR 9 , C(R 9 ) 2 , N, or NH, provided that only one Y 4  can be absent; 
 each Z is independently selected from C(O), O, S, S(O) 2 , NR 6a , C(O)NR 6b , or S(O) 2 NR 6c ; 
 R 1  is selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy, alkoxy, C-amido, O-carboxy, and 5-7 membered heterocyclyl; or aryl optionally substituted with one or more substituents selected from group consisting of amino, cyano, halogen, alkyl, haloalkyl, hydroxy, alkoxy, haloalkoxy, C-amido, N-amino, C-carboxy, O-carboxy and nitro; 
 R 2  and R 3  are each independently selected from hydrogen, halogen, haloalkyl, C 3-7  cycloalkyl, 3-7 membered heterocyclyl, or 5-10 membered heteroaryl; wherein each C 3-7  cycloalkyl, 3-7 membered heterocyclyl, and 5-10 membered heteroaryl of R 2  or R 3  is optionally substituted; provided that R 2  and R 3  cannot both be hydrogen; 
 or R 2  and R 3  are joined together with the atom to which they are attached to form a halo-substituted C 3-7  cycloalkyl or halo-substituted 3-7 membered heterocyclyl; 
 each R 4  and R 5  is independently selected from hydrogen or alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; or R 4  and R 5  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or optionally substituted heterocyclyl; 
 each R 6 , R 6a , R 6b , and R 6c  is independently selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; aryl; or C 3-6  cycloalkyl; 
 each R 7  and R 8  is independently selected from hydrogen or C 1-6  alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; or R 7  and R 8  are joined together with the atom or atoms to which they are attached to form a spirocyclic heterocyclyl, a spirocyclic carbocyclyl, a fused heterocycle, or a fused carbocyclyl; 
 each R 9  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy, or halogen; or two adjacent R 9  are joined together with the atoms to which they are attached to form an optionally substituted carbocyclyl or an optionally substituted heterocyclyl; 
 each R 10  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; aryl; C 3-6  cycloalkyl; or cyano; 
 each R 11  is independently selected from hydrogen, alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; halogen; haloalkyl; or cyano; 
 each R 13  and R 14  is independently selected from hydrogen, alkyl, haloalkyl, aryl, or C 3-6  cycloalkyl; 
 R 15  is selected from hydrogen, alkyl, haloalkyl, (carbocyclyl)alkyl, aryl, or C 3-6  cycloalkyl 
 each R 16  and R 17  is independently selected from hydrogen, acyl, alkyl, haloalkyl, aryl, or C 3-6  cycloalkyl; or R 16  and R 17  are joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 each R 2a , R 3a , R 2b , R 3b , R 2c , and R 3c  is independently selected from hydrogen, alkyl, halogen, haloalkyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl; or each of R 2a  and R 3a , R 2b  and R 3b , or R 2c  and R 3c  are independently joined together with the atom to which they are attached to form an optionally substituted cycloalkyl or an optionally substituted heterocyclyl; 
 m is independently an integer from 1-3; 
 n is an integer from 0-3; 
 k is an integer from 0-3; 
 p is an integer from 1-2; 
 q is an integer from 1-6; 
 each s and u is independently an integer from 0 to 6; and 
    represents a single or double bond. 
 
     
     
         472 . (canceled) 
     
     
         473 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein
 A is an acetylene or selected from the group consisting of   
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       wherein each * is a point of attachment of A to L 1  or L 3 , and wherein the rings in A are optionally substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo;
 B is an acetylene or selected from the group consisting of 
 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       wherein each * is a point of attachment of B to L 1  or L 3 , wherein the rings in B are optionally substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo;
 G together with the atoms to which it is attached forms a ring system selected from 6-11 membered aryl, 5-11 membered heteroaryl, 4-11 membered heterocyclyl, and 4-11 membered carbocyclyl, wherein the ring system is optionally with one or more substituents selected from alkyl, amino, haloalkyl, halogen, or oxo; 
 
       
         
           
           
               
               
           
         
       
       is selected from 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
       or optionally substituted variants thereof;
 each Y 2  is independently selected from —CH═ or N; 
 each Y 3  is independently selected from C(R 6 ) 2 , NR 6 , O or S; 
 each Y 5  is independently selected from NR 6 , O or S; 
 each C 3-7  cycloalkyl, C 3-7  heterocyclyl, and 5-10 membered heteroaryl of R 2  or R 3  is optionally substituted with one or more substituents selected from alkyl, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo; and 
 each R 12  is independently selected from hydrogen; alkyl optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxy and alkoxy; acyl; C-carboxy; C-amido; sulfinyl; sulfonyl; or S-sulfonamido. 
 
     
     
         474 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein the compound of Formula (XII) is also represented by Formula (XIIa): 
       
         
           
           
               
               
           
         
         wherein A is selected from acetylene, 
       
       
         
           
           
               
               
           
         
       
       wherein the rings in A are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo; and
 B is selected from acetylene, 
 
       
         
           
           
               
               
           
         
       
       wherein the rings in B are unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, sulfonyl or oxo. 
     
     
         475 . (canceled) 
     
     
         476 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein D is —C(O)OR 1 . 
     
     
         477 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein both A and B are 
       
         
           
           
               
               
           
         
       
       each unsubstituted or substituted with one or more substituents selected from alkyl, amino, haloalkyl, halogen, hydroxy, alkoxy, haloalkoxy, cyano, or oxo. 
     
     
         478 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein one of A or B is 
       
         
           
           
               
               
           
         
       
       and the other A or B is selected from 
       
         
           
           
               
               
           
         
       
     
     
         479 . The compound or pharmaceutically acceptable salt thereof of  claim 478 , wherein A is 
       
         
           
           
               
               
           
         
       
       and B is selected from 
       
         
           
           
               
               
           
         
       
     
     
         480 . The compound or pharmaceutically acceptable salt thereof of  claim 478 , wherein B is 
       
         
           
           
               
               
           
         
       
       and A is selected from 
       
         
           
           
               
               
           
         
       
     
     
         481 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein one of A or B is acetylene and the other A or B is selected from 
       
         
           
           
               
               
           
         
       
     
     
         482 . (canceled) 
     
     
         483 . (canceled) 
     
     
         484 . (canceled) 
     
     
         485 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
     
     
         486 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
     
     
         487 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
       wherein R 10  is selected from hydrogen, C 1-3  alkyl or C 3-6  cycloalkyl. 
     
     
         488 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein C is selected from 
       
         
           
           
               
               
           
         
       
       wherein R 10  is selected from hydrogen, C 1-3  alkyl or C 3-6  cycloalkyl. 
     
     
         489 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein m is 1. 
     
     
         490 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 1  is hydrogen. 
     
     
         491 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein at least one of R 2  and R 3  is halogen or haloalkyl. 
     
     
         492 . (canceled) 
     
     
         493 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 2  is hydrogen and R 3  is selected from optionally substituted cyclobutyl. 
     
     
         494 . (canceled) 
     
     
         495 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 2  is hydrogen and R 3  is selected from optionally substituted oxetane. 
     
     
         496 . (canceled) 
     
     
         497 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 2  is hydrogen and R 3  is selected from optionally substituted thiazolyl or optionally substituted oxazolyl. 
     
     
         498 . (canceled) 
     
     
         499 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 2  and R 3  are joined together with the atom to which they are attached to form a C 3-6  cycloalkyl substituted by one or more halogen. 
     
     
         500 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein R 6  is hydrogen. 
     
     
         501 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein each of L 1  and L 2  is a single bond. 
     
     
         502 . (canceled) 
     
     
         503 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein L 5  is a single bond. 
     
     
         504 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein L 5  is a —O— linker. 
     
     
         505 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , wherein 
       
         
           
           
               
               
           
         
       
     
     
         506 . (canceled) 
     
     
         507 . (canceled) 
     
     
         508 . (canceled) 
     
     
         509 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , selected from compounds of Tables 12A and 12B, and pharmaceutically acceptable salt thereof. 
     
     
         510 . The compound or pharmaceutically acceptable salt thereof of  claim 471 , selected from compounds IT123, IT136, IT150, IT151, IT172 and IT228 of Table 13. 
     
     
         511 .- 666 . (canceled) 
     
     
         667 . A pharmaceutical composition comprising an effective amount of a compound of  claim 33 , or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, diluent, excipient or combination thereof. 
     
     
         668 . A method for treating, preventing, reversing, halting, or slowing the progression of fibrosis, comprising administering an effective amount of a compound of  claim 33 , or a pharmaceutically acceptable salt thereof to a subject in need thereof. 
     
     
         669 . (canceled) 
     
     
         670 . The method of  claim 668 , wherein the fibrosis is selected from pulmonary fibrosis, dermal fibrosis, kidney fibrosis, or liver fibrosis. 
     
     
         671 . The method of  claim 670 , wherein the pulmonary fibrosis is idiopathic pulmonary fibrosis. 
     
     
         672 . (canceled) 
     
     
         673 . The method of  claim 668 , wherein said compound, the pharmaceutical acceptable salt thereof, or the pharmaceutical composition is administered by inhalation. 
     
     
         674 . (canceled) 
     
     
         675 . (canceled) 
     
     
         676 .- 730 . (canceled) 
     
     
         731 . A pharmaceutical composition comprising an effective amount of a compound of  claim 441 , or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, diluent, excipient or combination thereof. 
     
     
         732 . A method for treating, preventing, reversing, halting, or slowing the progression of fibrosis, comprising administering an effective amount of a compound of  claim 441 , or a pharmaceutically acceptable salt thereof to a subject in need thereof. 
     
     
         733 . The method of  claim 732 , wherein the fibrosis is selected from pulmonary fibrosis, dermal fibrosis, kidney fibrosis, or liver fibrosis. 
     
     
         734 . The method of  claim 733 , wherein the pulmonary fibrosis is idiopathic pulmonary fibrosis. 
     
     
         735 . The method of  claim 732 , wherein said compound, the pharmaceutical acceptable salt thereof, or the pharmaceutical composition is administered by inhalation. 
     
     
         736 . A pharmaceutical composition comprising an effective amount of a compound of  claim 471 , or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, diluent, excipient or combination thereof. 
     
     
         737 . A method for treating, preventing, reversing, halting, or slowing the progression of fibrosis, comprising administering an effective amount of a compound of  claim 471 , or a pharmaceutically acceptable salt thereof to a subject in need thereof. 
     
     
         738 . The method of  claim 737 , wherein the fibrosis is selected from pulmonary fibrosis, dermal fibrosis, kidney fibrosis, or liver fibrosis. 
     
     
         739 . The method of  claim 738 , wherein the pulmonary fibrosis is idiopathic pulmonary fibrosis. 
     
     
         740 . The method of  claim 737 , wherein said compound, the pharmaceutical acceptable salt thereof, or the pharmaceutical composition is administered by inhalation.

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